Organization Active NPI

Decatur Vein Clinic Colorado PC

Doing business as Colorado Vein Clinic PC

  • Vascular Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1326148693
Registry record updated Mar 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
DECATUR VEIN CLINIC COLORADO PC
Doing business as
Colorado Vein Clinic PC
Practice address
601 Center Ave
Grand Junction, CO 81501-2041
Phone
(970) 242-3641
Fax
(970) 241-1674
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Vincent, MDNPI 1346395985
Title
Owner
Phone
(970) 263-7348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

601 Center Ave
Grand Junction, CO 81501-2041

Mailing address

601 Center Ave
Grand Junction, CO 81501-2041
Phone (970) 263-7348

Other names 1

  • Colorado Vein Clinic PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364083200000",
    "number": "1326148693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CENTER AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012041",
            "telephone_number": "970-263-7348",
            "fax_number": "970-241-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CENTER AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012041",
            "telephone_number": "970-242-3641",
            "fax_number": "970-241-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR VEIN CLINIC COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-03-24",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-263-7348",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Vein Clinic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.